Citation: | ZOU Yue, CHEN Xufeng. Application of extracorporeal membrane oxygenation in high-risk percutaneous coronary intervention without obvious shock[J]. Journal of Clinical Medicine in Practice, 2022, 26(12): 139-143. DOI: 10.7619/jcmp.20220164 |
Percutaneous coronary intervention (PCI) is a feasible strategy for vascular remodeling in high-risk coronary artery disease patients who are not suitable for surgery or refuse surgery. However, such high-risk patients are at higher risk of hemodynamic collapse during balloon inflating or complex procedures, especially when coronary artery dissection with vessel closure or without re-flow occurs. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has been introduced as a temporary mechanical circulatory support (MCS)for high-risk PCI, which can provide adequate systemic perfusion during surgery. This article reviewed the studies on the preventive use of extra-corporeal membrane oxygenation (ECMO) in technically complex high-risk PCI without obvious shock.
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